Individual provider Active NPI

Helmut John Anderson, LCSW-529

  • Mental Health Counselor
  • Rock Springs, WY
National Provider Identifier
1316000474
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW529 Issued in WY
Practice address
1124 College Hill Dr.
Rock Springs, WY 82901
Phone
(307) 352-6689
Fax
(307) 352-6692
NPI assigned
Dec 19, 2006
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW529 WY Primary

Addresses

Primary practice location

1124 College Hill Dr.
Rock Springs, WY 82901

Mailing address

2706 Ankeny Way
Rock Springs, WY 82901
Phone (307) 352-6689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW529WYMDMental Health Counselor
529WYMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1316000474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ANKENY WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-352-6689",
            "fax_number": "307-352-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLLEGE HILL DR.",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-352-6689",
            "fax_number": "307-352-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HELMUT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW-529",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LCSW529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.